Association Of Lower Urinary Tract Symptoms And The Metabolic Syndrome

The fat gots LUTS of problems.

"There is increasing evidence of an association between lower urinary tract symptoms (LUTS) and chronic conditions such as obesity, diabetes, and heart disease. Results from the present study - The Boston Area Community Health Survey - conducted in a population-based sample of men, show an association between LUTS and the metabolic syndrome, a precursor state for diabetes and cardiovascular disease that includes criteria for dyslipidemia, hyperglycemia, hypertension, and central adiposity."

And what are the symptoms of LUTS?

Symptoms can be divided into seven groups:

Storage: increased daytime frequency, nocturia, urgency, urinary incontinence (stress incontinence, urge incontinence, mixed urinary incontinence, enuresis, continuous urinary leakage).

Voiding symptoms: poor stream, hesitancy, intermittent stream, straining, terminal dribble.

Postmicturition symptoms: postmicturition dribble, feeling of incomplete emptying.
Symptoms associated with sexual intercourse: dyspareunia, vaginal dryness, incontinence.

Symptoms associated with genitourinary prolapse: feeling of 'something coming down', low backache, heaviness, dragging sensation.

Genital and lower urinary tract pain: pain may be associated with bladder filling, micturition, postmicturition or continuous.

Genitourinary pain syndromes and Lower Urinary Tract Dysfunction (LUTD): symptom syndromes suggestive of LUTD may be those of an overactive bladder or of bladder outlet obstruction.

Nice.